2022 Registration: Camper Form | Youth For the Nations

GENERAL INFORMATION

ARE YOU REGISTERED WITH A CHURCH (OR GROUP) OR AS AN INDIVIDUAL?*

CHURCH/GROUP

INDIVIDUAL

NAME OF CHURCH/GROUP*

NOTE: A group is considered to be 2 or more people. If you are attending YFN with friends or family and ARE NOT affiliated with a church or youth group, please type the name of the person that submitted your registration/deposit payment.

YOUTH PASTOR'S NAME

NAME ON ORIGINAL REGISTRATION*

First Last

REGISTRANT'S INFORMATION (CAMPER)

CAMPER'S NAME*

First Last

HOME ADDRESS*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

GENDER*

MALE

FEMALE

DATE OF BIRTH*

AGE*

Please select the current age of the camper.

GRADE*

Please select the grade the camper will be entering this coming Fall.

MEDICAL INFORMATION

DO YOU HAVE ANY MEDICAL CONDITIONS WE SHOULD BE AWARE OF?*

YES

NO

Examples: Epilepsy, Asthma, Arthritis, etc.

PLEASE DESCRIBE BELOW*

DOES THIS CONDITION(S) REQUIRE SPECIFIC MEDICATION TO BE DISTRIBUTED AND/OR ADMINISTERED OVER THE DURATION OF YFN CAMP?*

YES

NO

If yes, we will have a nurse available for the entire duration of camp that will keep and distribute those medications for students/campers as necessary.

DO YOU HAVE ANY ALLERGIES WE SHOULD BE AWARE OF?*

YES

NO

This includes food allergies // Examples: grass, nuts, dairy, etc.

PLEASE DESCRIBE BELOW*

DO YOU HAVE ANY DIETARY RESTRICTIONS?*

YES

NO

Examples: Gluten-free, vegan, vegetarian, no tree nuts, no dairy, etc.

PLEASE DESCRIBE BELOW*

ADDITIONAL SPECIAL NOTES/REQUESTS

PARENT/LEGAL GUARDIAN INFORMATION

FULL NAME*

First Last

EMAIL ADDRESS*

PHONE NUMBER*

RELATIONSHIP TO CAMPER*

PLEASE SPECIFY RELATIONSHIP TO CAMPER*

WOULD YOU LIKE TO ADD A SECONDARY PARENT/LEGAL GUARDIAN'S INFORMATION*

YES

NO

FULL NAME*

First Last

EMAIL ADDRESS

PHONE NUMBER*

RELATIONSHIP TO CAMPER*

PLEASE SPECIFY RELATIONSHIP TO CAMPER*

YFN 2022 LEGAL AGREEMENTS

The portion below contains information pertaining to Legal Agreements and is ONLY to be filled out by the registrant's parent or legal guardian.

MEDICAL RELEASE*

By e-signing and selecting "Yes" below, you are agreeing to the following: Youth for the Nations, Christ for the Nations Inc., and all other affiliates of CFNI will not be held liable for any injuries that occur or are sustained during the registrant's time at camp; You are giving Youth For the Nations consent to make any medical decisions deemed necessary in the event of an emergency during the duration of the registrant's time at YFN.

YES, I have read, understood, and agree to the terms above.

COVID-19 AGREEMENT*

By e-signing and selecting "Yes" below, you are stating that you (the registrant) are fully responsible for the risk of contracting the virus known as COVID-19 by attending this event/camp. You are also stating that you (the registrant) will terminate your registration to YFN 2022 if you or someone you have been in contact with within the 14 days leading up to your scheduled camp arrival has tested positive or has shown active symptoms of COVID-19.

YES, I have read, understood, and agree to the terms above.

LIABILITY RELEASE OF ITEMS*

I agree that any items lost or stolen are not CFNI or YFN's responsibility to find or replace. I release Christ for the Nations Inc., Youth For the Nations, and all other affiliates of legal liability for any event that may take place during the registrant's time of camp.

YES, I have read, understood, and agree to the terms above.

FULL NAME OF SIGNING PARENT/LEGAL GUARDIAN*

First Last

SIGNATURE OF PARENT/LEGAL GUARDIAN*

YFN 2022

CAMPER FORM

GENERAL INFORMATION

REGISTRANT'S INFORMATION (CAMPER)

MEDICAL INFORMATION

PARENT/LEGAL GUARDIAN INFORMATION

YFN 2022 LEGAL AGREEMENTS